NPIMap

Organization Active NPI

Eden Park Management, Inc.

  • Skilled Nursing Facility
  • New Milford, CT
National Provider Identifier
1750451571
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
877-C Issued in CT
Legal business name
EDEN PARK MANAGEMENT, INC.
Practice address
19 Poplar St
New Milford, CT 06776-2901
Phone
(860) 354-9365
NPI assigned
Nov 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alton Mendleson, Jr.
Title
President
Phone
(518) 436-4731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 877-C CT Primary

Addresses

Primary practice location

19 Poplar St
New Milford, CT 06776-2901

Mailing address

22 Holland Ave
Albany, NY 12209-1713
Phone (518) 436-4731

Other names 1

  • New Milford Health & Rehabilitation Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Eden Park Management Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750451571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HOLLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091713",
            "telephone_number": "518-436-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 POPLAR ST",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762901",
            "telephone_number": "860-354-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN PARK MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENDLESON, JR.",
        "authorized_official_first_name": "ALTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-436-4731"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "877-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Milford Health & Rehabilitation Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.